Paul Smeaton CMgr FCMI ran a domiciliary and complex care business supporting 120 service users and 150 staff across three counties. He's lived the Monday morning rota disasters, the sleepless on-call nights, and the CQC pressure. What transformed his service was practical, affordable AI — and he's been helping other providers do the same ever since. A Chartered Manager and Fellow of the CMI, Paul consults, speaks, and writes on AI in care. AI or Die is the book he wishes had existed sooner.